Registration

You must register by downloading and completing this form, then sending it to the FMA via fax or mail.

Cost:

 FMA Member Physician or Member Physician Staff  $189
 Additional FMA Member Physician or Member Physician Staff  $139
 Non-Member Physician or Non-Member Physician Staff  $289
 Residents  $99
 SPECIAL - 5 FMA Member Physicians or Member Physician Staff  $599